Welcome to the Dollar General Customer Satisfaction Survey.

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We value your candid feedback and appreciate you taking the time to complete our survey.

Please enter the following information located towards the bottom of your receipt.

Time: Hour -- 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 : Minute -- 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59

Store number (with leading 0's): Input Store Number

15-digit survey code: Input Survey Code Digits 1 to 4 - Input Survey Code Digits 5 to 8 - Input Survey Code Digits 9 to 12 - Input Survey Code Digits 13 to 15

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